NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?
Correct Answer: B
Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.
Question 2 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 3 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.
Question 4 of 5
The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?
Correct Answer: B
Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.
Question 5 of 5
A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?
Correct Answer: B
Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.